Individual
DONNA LYNN KIRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1038 BETHANIA RURAL HALL RD, RURAL HALL, NC 27045-9552
(336) 716-9270
(336) 702-9313
Mailing address
PROVIDER ENROLLMENT, 100 KIMEL FOREST DRIVE, WINSTON SALEM, NC 27103-6074
(336) 713-0947
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5008774
NC
363LF0000X
Family Nurse Practitioner
136755
NC
Other
Enumeration date
07/14/2016
Last updated
12/07/2023
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